Venous Lines Flashcards
What are sites of insertion for a CVC (triple lumen)?
subclavian
femoral
jugular veins
what are contraindications for insertion of a CVC (triple lumen)?
not in the RA or Rventricle
can cause tamponade
how does a PICC line work?
insert into a peripheral vein, then advance cath until it reaches a central vein
which veins can be used for PICC access?
basilic
cephalic
brachial
when is a PICC line indicated?
anytime you need long term access to veins (ie, abx, chemo, transfusions) or continuous monitoring
what is a major advantage of a PICC?
less risk of infection
what is the optimal site for hemodialysis access?
right jugular
when would you use a tunneled catheter?
when you need long term venous access and pt can’t have AV fistula or who have exhausted all other venous access sites
